Comparison of a Diagnostic Checklist with a Structured Interview for the Assessment of DSM-III-R and ICD-10 Personality Disorders
作者:
T. Bronisch,
W. Mombour,
期刊:
Psychopathology
(Karger Available online 1994)
卷期:
Volume 27,
issue 6
页码: 312-320
ISSN:0254-4962
年代: 1994
DOI:10.1159/000284889
出版商: S. Karger AG
数据来源: Karger
摘要:
The International Diagnostic Checklists for the assessment of the DSM-III-R and ICD-10 personality disorders (IDCL·P) were compared with a structured interview, the International Personality Disorder Examination (IPDE), using a balanced test-retest design with forty psychiatric inpatients. The results, using pairwise k for the calculation of agreement, were as follows: any personality disorder versus no personality disorder 0.52 for DSM-III-R diagnoses and 0.75 for ICD-10 diagnoses. The range for the single personality disorders diagnosed at least five times was from ––0.07 to 0.71 for DSM-III-R diagnoses and from 0.38 to 0.68 for ICD-10 diagnoses. Only for DSM-III-R diagnoses do figures exist from three other studies comparing two structured interviews with each other. The results of all four studies suggest that 60% of the variance in personality disorder diagnoses represents variance not attributable to the patients, which is scientifically unacceptable.
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